Illinois General Assembly - Full Text of Public Act 100-1160
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Public Act 100-1160


Public Act 1160 100TH GENERAL ASSEMBLY


Public Act 100-1160
SB0309 EnrolledLRB100 05111 SMS 15121 b

    AN ACT concerning regulation.
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
    Section 5. The Nurse Practice Act is amended by changing
Section 50-75 as follows:
    (225 ILCS 65/50-75)
    (Section scheduled to be repealed on January 1, 2028)
    Sec. 50-75. Nursing delegation by a registered
professional nurse.
    (a) For the purposes of this Section:
    "Delegation" means transferring to a specific individual
the authority to perform a specific nursing intervention in a
specific situation.
    "Predictability of outcomes" means that a registered
professional nurse or advanced practice registered nurse has
determined that the patient's or individual's clinical status
is stable and expected to improve or the patient's or
individual's deteriorating condition is expected to follow a
known or expected course.
    "Stability" means a registered professional nurse or
advanced practice registered nurse has determined that the
individual's clinical status and nursing care needs are
    (b) This Section authorizes a registered professional
nurse or advanced practice registered nurse to:
        (1) delegate nursing interventions to other registered
    professional nurses, licensed practical nurses, and other
    unlicensed personnel based on the comprehensive nursing
    assessment that includes, but is not limited to:
            (A) the stability and condition of the patient;
            (B) the potential for harm;
            (C) the complexity of the nursing intervention to
        be delegated;
            (D) the predictability of outcomes; and
            (E) competency of the individual to whom the
        nursing intervention is delegated;
        (2) delegate medication administration to other
    licensed nurses;
        (3) in community-based or in-home care settings,
    delegate the administration of medication (limited to oral
    or subcutaneous dosage and topical or transdermal
    application) to unlicensed personnel, if all the
    conditions for delegation set forth in this Section are
        (4) refuse to delegate, stop, or rescind a previously
    authorized delegation; or
        (5) in community-based or in-home care settings,
    delegate, guide, and evaluate the implementation of
    nursing interventions as a component of patient care
    coordination after completion of the comprehensive patient
    assessment based on analysis of the comprehensive nursing
    assessment data; care coordination in in-home care and
    school settings may occur in person, by telecommunication,
    or by electronic communication.
    (c) This Section prohibits the following:
        (1) An individual or entity from mandating that a
    registered professional nurse delegate nursing
    interventions if the registered professional nurse
    determines it is inappropriate to do so. Nurses shall not
    be subject to disciplinary or any other adverse action for
    refusing to delegate a nursing intervention based on
    patient safety.
        (2) The delegation of medication administration to
    unlicensed personnel in any institutional or long-term
    facility, including, but not limited to, those facilities
    licensed by the Hospital Licensing Act, the University of
    Illinois Hospital Act, State-operated mental health
    hospitals, or State-operated developmental centers, except
    as authorized under Article 80 of this Act or otherwise
    specifically authorized by law.
        (3) A registered professional nurse from delegating
    nursing judgment, the comprehensive patient assessment,
    the development of a plan of care, and the evaluation of
    care to licensed or unlicensed personnel.
        (4) A licensed practical nurse or unlicensed personnel
    who has been delegated a nursing intervention from
    re-delegating a nursing intervention.
(Source: P.A. 100-513, eff. 1-1-18.)

Effective Date: 6/1/2019